Tertiary assessment of trauma patients in a hospital in the city of São Paulo: a question of necessity
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Ortopedia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000400357 |
Resumo: | OBJECTIVE: To minimize the occurrence of missed injuries, the tertiary evaluation was introduced consisting of reassessment of the patient, 24 hours after admission, with: complete history, physical examination, review of exams and diagnostic testing if necessary. METHODS: Observational study evaluating trauma patients admitted to a teaching hospital in São Paulo, according to a protocol for tertiary evaluation. RESULTS: Between February and May 2012, for 12 weeks, 182 patients were submitted to tertiary evaluation, 100 (55%) polytraumatized and 82 (45%) were victims of low-energy trauma. Neglected lesions were observed in 21 (11.5%) patients, who had 28 missed injuries. Of these 28 lesions, seven (25%) required surgical treatment. CONCLUSION: Strategies including formal tertiary evaluation, the protocol applied for assessing trauma victims, seem to be beneficial in these patients, regardless of the mechanism of trauma. The method is easily applied, effective and has low cost in identifying missed injuries in the victims of trauma. |
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Tertiary assessment of trauma patients in a hospital in the city of São Paulo: a question of necessityEvaluationMultiple traumaTrauma severity indices OBJECTIVE: To minimize the occurrence of missed injuries, the tertiary evaluation was introduced consisting of reassessment of the patient, 24 hours after admission, with: complete history, physical examination, review of exams and diagnostic testing if necessary. METHODS: Observational study evaluating trauma patients admitted to a teaching hospital in São Paulo, according to a protocol for tertiary evaluation. RESULTS: Between February and May 2012, for 12 weeks, 182 patients were submitted to tertiary evaluation, 100 (55%) polytraumatized and 82 (45%) were victims of low-energy trauma. Neglected lesions were observed in 21 (11.5%) patients, who had 28 missed injuries. Of these 28 lesions, seven (25%) required surgical treatment. CONCLUSION: Strategies including formal tertiary evaluation, the protocol applied for assessing trauma victims, seem to be beneficial in these patients, regardless of the mechanism of trauma. The method is easily applied, effective and has low cost in identifying missed injuries in the victims of trauma. Sociedade Brasileira de Ortopedia e Traumatologia2013-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000400357Revista Brasileira de Ortopedia v.48 n.4 2013reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rbo.2012.08.008info:eu-repo/semantics/openAccessRoessle,Thiago RicardoFreitas,Claudia DinizMoscovici,Herman FabianZamboni,CaioHungria,Jose Octavio SoaresChristian,Ralph WalterMercadante,Marcelo Tomanikeng2014-02-25T00:00:00Zoai:scielo:S0102-36162013000400357Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2014-02-25T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Tertiary assessment of trauma patients in a hospital in the city of São Paulo: a question of necessity |
title |
Tertiary assessment of trauma patients in a hospital in the city of São Paulo: a question of necessity |
spellingShingle |
Tertiary assessment of trauma patients in a hospital in the city of São Paulo: a question of necessity Roessle,Thiago Ricardo Evaluation Multiple trauma Trauma severity indices |
title_short |
Tertiary assessment of trauma patients in a hospital in the city of São Paulo: a question of necessity |
title_full |
Tertiary assessment of trauma patients in a hospital in the city of São Paulo: a question of necessity |
title_fullStr |
Tertiary assessment of trauma patients in a hospital in the city of São Paulo: a question of necessity |
title_full_unstemmed |
Tertiary assessment of trauma patients in a hospital in the city of São Paulo: a question of necessity |
title_sort |
Tertiary assessment of trauma patients in a hospital in the city of São Paulo: a question of necessity |
author |
Roessle,Thiago Ricardo |
author_facet |
Roessle,Thiago Ricardo Freitas,Claudia Diniz Moscovici,Herman Fabian Zamboni,Caio Hungria,Jose Octavio Soares Christian,Ralph Walter Mercadante,Marcelo Tomanik |
author_role |
author |
author2 |
Freitas,Claudia Diniz Moscovici,Herman Fabian Zamboni,Caio Hungria,Jose Octavio Soares Christian,Ralph Walter Mercadante,Marcelo Tomanik |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Roessle,Thiago Ricardo Freitas,Claudia Diniz Moscovici,Herman Fabian Zamboni,Caio Hungria,Jose Octavio Soares Christian,Ralph Walter Mercadante,Marcelo Tomanik |
dc.subject.por.fl_str_mv |
Evaluation Multiple trauma Trauma severity indices |
topic |
Evaluation Multiple trauma Trauma severity indices |
description |
OBJECTIVE: To minimize the occurrence of missed injuries, the tertiary evaluation was introduced consisting of reassessment of the patient, 24 hours after admission, with: complete history, physical examination, review of exams and diagnostic testing if necessary. METHODS: Observational study evaluating trauma patients admitted to a teaching hospital in São Paulo, according to a protocol for tertiary evaluation. RESULTS: Between February and May 2012, for 12 weeks, 182 patients were submitted to tertiary evaluation, 100 (55%) polytraumatized and 82 (45%) were victims of low-energy trauma. Neglected lesions were observed in 21 (11.5%) patients, who had 28 missed injuries. Of these 28 lesions, seven (25%) required surgical treatment. CONCLUSION: Strategies including formal tertiary evaluation, the protocol applied for assessing trauma victims, seem to be beneficial in these patients, regardless of the mechanism of trauma. The method is easily applied, effective and has low cost in identifying missed injuries in the victims of trauma. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000400357 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000400357 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.rbo.2012.08.008 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ortopedia v.48 n.4 2013 reponame:Revista Brasileira de Ortopedia (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Revista Brasileira de Ortopedia (Online) |
collection |
Revista Brasileira de Ortopedia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
||rbo@sbot.org.br |
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1752122358759424000 |